HomeMy WebLinkAbout36836-ZTown of Southold Annex
P.O. Box 1179
54375 Main Road
Southold, New York 11971
4/23/2012
CERTIFICATE OF OCCUPANCY
No: 35583
Date: 4/23/2012
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889
Subdivision:
ALTERATION
1185 Bungalow Ln, Mattituck,
Sec/Block/Lot: 123.-3-16
Filed Map No.
Lot No.
filed in this officed dated
36836 dated 11/28/2011
conforms substantially to the Application for Building Permit heretofore
11/28/2011 pursuant to which Building Permit No.
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
alter existing porch with glass windows as applied for
The certificate is issued to
Zito, Ronald & Zito, Patricia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
36836
/6 ho / d
4/19/12
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631 ) 765~ 1802
Fax (631 ) 765-9502
ro.qer, richert~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Zito
Address: 1185 Bungalow Lane City: Mattituck St: NY Zip: 11952
Building Permit #: 36836 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Express Electric LicenseNo: 3653-me
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt Wall Fixtures ~.~ Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent FixtureM Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: closed in porch, 1 paddle fan
Notes:
Inspector Signature:
Date: April 19 2012
81-Cert Electrical Compliance Form.xls
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36836
Date: 11/2812011
Permission is hereby granted to:
Zito, Ronald & Zito, Patricia
906 Midland Rd
Oradell, NJ 07649
To:
alter existing porch with glass windows as applied for
At premises located at:
1185 Bungalow Ln
SCTM # 473889
Sec/Block/Lot # 123.-3-16
Pursuant to application dated
To expire on 5/29/2013.
Fees:
11/28/2011
and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ALTERATION TO DWELLING
Total:
$200.00
$50.00
$250.00
Building Inspector
Fo~m No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF occUPANcy
~ application must be filled in by typewriter or ink and submitted to the Building Department with. the follo~ving:
A. For new building or new use:
1. Final sur~ey of pml~rty with accurate'location of all buildings, property ltnea, str~ts, and unusual naturat or
topographic feamr6s.
2. Final Approval from Health Df, pt. of water supply and sewerage-disposal (8-9 form).
3, Approval ofelcctrk, al installation from Board 6fFire Underwriters.
' 4. ·aw.om statement from ptumhor certifying that the solder ased in system oantai~s l~ss than 2/10 of 1% lead.
5. Comn~Aat building, i~dustrial building, mtiltiple residonc~ and similar buildings and installations, a e~rtificate
of Code CompliaaoeTrom amhitect or engineer responsible for the building,
.6. Submit p!anning Board Approval of complexeA sit~ plan requirements.
B. For existing buildings (prior to April 9, 19571 don-conforming us~, or buildings and "pre-existing" laud uses."
1. Aczmmte survey of property showing all property lines, stmots, building and unusaal naturai or topographic
features_
2. A properly ~0mpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certifica{e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.0~,
Swimmiag po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00:
~. Certificate of Occupancy on Pm-existing Building - $100.00
3. Co~y of Certificate of Occupancy - $.25
· 4. Updated Certificate of Occupancy - $50.00
· 5. Temporary Certificate of Occupancy - Residential $15.00:, Commerci~tl $15.00
New Construction: Old or Pre-existing Building: ' (check one)
. House N~ . ~/ . Street .. ' .
,~ffolk .Co.unty Tax Map No 1000, Secti0n }c~ '~ '&"' ' '
Subdivision
Date of Pea mil
l~gmit No.
Filed Map.
Appli~tae.
Undetwriter~ Approval:
Hamlet
Planning Board Approval:
Request for:. Temporary Certificate
F~e Subn'titted: $ .~. '~'
Final Certificate:
_. (check one)
Applicaat Sig at~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ~].~LECTRICAL (FINAL)
REMARKS:
DATE ~ INSPECTOR~~~---
TOWN OF SOUTHOLD BUILDING DEP-T-.~.-~'~
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[ ] ELECTRICA~J~(ROUGH) . [ ] ELECTRICAL (FINAL)
REMARKS? ~ (/~//~ ~/~- ~c?~-~
DATE ~INSPECTOR .._ -/~-7,7,~/~_~--c~
TOWN OF
DEPT.
765-1802
I ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ~] F~DATION 2ND [ ] INSULATION
[ ~-'FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: ~'~ ~ /~-~'~J
/
DATE
INSPECTOR
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
~] ELECTRICAL (ROUGH)
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRIOAL (FINAL)
REMARKS:
DATE INSPECTOR
TOWN OF~LDIN~
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ] I/~I6~LATION
[),I' FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH~/// ./[ ] ELECTRICAL (FINAL)
REMARKS: ~
DATE
INSPECTOR
TOWN OF SOUTHOLD
BUILDUNG 'DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
PERMIT NO.
Examined [I~, 20 II
Disapproved
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.SD.EC.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Phone:
Expiration ~~ a
~) ~--~\!/J IX Building Inspector
~, ~%x~. 5~~PLiCATiON FOR BUiLD~G pE~.
Date ,
a. This application ~ST ~ completely ~1~ ~ ~ ~ter or in ~ ~d sub~R~ to the Building Ins~ctor with 4
sets ofpl~s, a~ate plot pl~ to sc~e. Fee acmr~g to ~hedule.
b. Plot pl~ ~o~ng l~afion of lot ~d of buil~ngs on ~s, relafionshp m adjo~ing ~ses or public s~eets or
~e~, ~d wate~ays.
c. ~e work cover~ by ~s a~licmion may not ~ comenc~ before issu~ce of Build~g Pe~t.
d. Upon ap~ov~ offs application, ~e B~l~g Inspector will issue a Bulling Pe~it to ~e ~plic~t. Such a pe~t
sh~l be kept on ~e premiss av~lable for inspe~on ~ou~om ~e work.
e. No b~l~g sh~l be occupied or used ~ whole or ~ p~ for ~y p~ what so ev~ ~tfl ~e B~l~ng Inspector
issues a C~ficme of Ocmp~cy.
~ Eve~ buil~ng pe~t sh~l expke if~e work au~odzed h~ not ~menced ~n 12 monks aRer ~e &te of
issu~ce or h~ not ~en completed wi~ 18 monks bom such &te. If no zoning reenacts or o~ regulations ~t~g
prope~ have been enact~ m ~e ~tem, ~e Buil~g Inspect may au~odze, ~ ~flng, ~e extension of~e ~mt for
ad,riCh six monks. ~e~er, a new pe~fl sh~l be require.
~PLICA~ON IS HE,BY ~DE to ~e B~l~g D~m~t for ~e iss~ce cfa Buil~g Pe~t p~su~t to ~e
Buil~g Zone ~ce of~e To~ of Southol~ Suffo~ Co--W, New Yor~ ~d o~er ~plicable Laws, ~n~ces or
Regulations, for the cons~cfion ofb~l~ngs, ~fio~, or ~t~afions or for rmov~ or d~olifion as here~ des~d. ~e
applic~t W~s to comply with ~1 applicable laws, or~n~s, buil~g code, hous~g c~e, ~d regulmi~s, ~d m a~t
authohzed ins~tom on presses ~d in buil~ng for n~es~ ~specfions.
(Si~amre of a~t or nme, if a co~omtion)
' ' ~0 ~ ' ' ' ~' ' ' m~ling addre~s of applic~t)
State whe~er applic~t is omer, lessee, agent, ~chitect, engineer, gene~m,%le~6~, plumber or builder
DATE~ B P. ~ 5h
FEE:'/~q, BY~
Name cromer of premises NOIIFY BUILDING DEPARTMENT
7~'-16~2 6 '~ -O 4 FM -~- THL
(As on the m ~g~O ~CIION~
If applimnt is a co,ration, signature of duly authorized officer 1. FOUNDATION - IWO REQUIRED FOR POURED CONCRETE
~ame and title ofco~orate officer) 2 ~OUGH. FRAUlNG. PLUBB',NG.
STRAPPING. ELECTRICAL & OAULK~ q
3. tNSU~TION
4. FINAL- CONSTRUCTION g ELEOT~ C
MUST BE COBPLE*E cOR t 0
~ ALL CONSTRUCTION SHALL ~,~SET IH[
REOUIREMENTSOF HEgODESOF
YORK STATE NOT RESPONSIBLE
,~StGNOR OONSIRUCIION ERROR5 /
1. Location of l~d on which proposed work will be do~: ~ ~'~ m~
tlg -
House Nmber S~eet Hamlet
County Tax Map No. 1000 Section //~1,,~ Block ~
Subdivision Filed Map No.
Lot /~
Lot
2. State existing use and occupancy of premises and intended use and occupancy ofpropose~l construction:
a. Existinguseandoccupancy S~E~-~',,tE ~ F'O~c-,H { ~X, JD
b. Intended use and occupancy Wt3//~oWt~ /:~RCff (,3 S~-~.~ox//-~,~o_fit)/
~L
3. Nature of work (check which applicable): New Building. Addition Alteration -v/x~J ~'<~ ~,
Repair Removal Demolition Other Work
Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cars
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
RosJ'
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear .Depth
9. Size of lot: Front Rear .Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate uny zoning law, ordinance or regulation? YES NO__
13. Will lot be re-graded? YES__ NO__Will excess fill be removed from premises? YES__ NO
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address Phone No.
15 a. Is this propeay within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* 1F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO__
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES __
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly sworn, deposes and says that (s)be is the applicant
(Name of individual sisming contract) above named, CONNIE D. BUNCH
Notary Public, ~tate of New York
(S)Ho is the No. 01BUO18r~O~0
Oualme~ ;n ~unom [~oun~
(Contractor, Agent, Corporate Officer, etc.) Commle~lon Expime Alxl114, ~[J~ o~,
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this applicatioe;
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sw~m to before me this~ / · ~
c hch a yof
Notary Public
Signatur'e of p~l~ent
To~n Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
ro.qer, richertd,~ (w~!)sTou~o(~.n¥.us
BUILDING DEPARTMENT
TOWN OF 8OUTHO~B
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:
Company Name:
Name:
License No.:
Address:
Phone No.:
JOBSITE INFORMATION: (*Indicates required information)
*Name: I--5
*Address: Jl~5
*Cross Street:' / ' ' ~
*Phone No.:
Permit No.: -~V~:r
Tax Map District: 1000 Section: ) ~ .~
*BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly)
Block: .'~ Lot:
(Please Circle All That Apply)
*Is job ready for inspection:
*Do you need a Temp Certificate:
Temp Information(If needed]
*Service Size: 1 Phase
*New Service: Re-connect
Additional Information:
~NO R~g~ In~ Final
YES ~ rv
3Phase 100 150 200 300 350 40(
Underground Number of Meters Change of Service
PAYMENT DUE WITH APPLICATION
Overhe~
82-Request for Inspection Form
260., 6'
S 75'04'00"W
PART OF LOT 12
MAP OF MARRAI'OOKA PARK
BAY LOTS AND BUGALOW SITES
MATFITUCK, TOWN OF SOUTHOLD
SUFFOLK COUNTY', N.Y.
SURVEYED FOR: RONALD ZITO
PATRICIA Z/TO
/05
SURVEYED BY
STANLEY J. ISAKSEN, JR
P.O 130~ 294
NEW SU~'FOLK NY 11955
//K/YS L,C 'No. t492~1~ OSR1690
SERIES 8700 Sliding windows feature two panels
that slide horizontally to give you improved ventilation
Available in three different configurations to enhance the
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FEATURES
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FEATURES
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